2. PDA Assessment - Summary
Armenia CO – January 2008
Objectives for Armenia CO:
Conduct an assessment for the potential of mobile data
collection technology using Personal Digital Assistants (PDA’s)
Provide training in use of the hardware and software and
evaluate with in-field visit.
Provide data management recommendations
3. PDA Project - Summary
Armenia CO Activities
Week One
Yerevan Office –
Hardware and software training for Project Officers, M&E
and IT personnel
Field testing of NOVA/CSHF QIT and Followup Visit PDA
forms in Saravan and Vayk of Vayotz Dzor Marz.
Week Two
Yerevan Office –
• Final training and activity review
7. NOVA - Community Involvement in Health Care Services
Continuous Self- Assessment Form
COMMUNITY INVOLVEMENT IN HEALTH CARE SERVICES
Continuous Self- Assessment Form
Marz:
Name of Community:
Date: Answer key: 2=yes ; 1=yes, but sometimes, needs improvement; 0=no
Measurable/Observable Sub-Indicators For Evaluation Baseline Mid-term Follow-up
Accessibility
Provider conducts home visits for postpartum care 1 Do providers conduct postpartum home visits?
2 Do physicians visit the community once per month or more?
3 Does the community members aware about physicians visits?
Physician visits community once per month or
4 Do physicians take time to see patients in the clinic?
more
5 Do physicians record visits to FAPs at the village mayor office?
6 Do physicians do home visits?
7 Do village mayors have transport available in case of an emergency of a communtiy member?
Community has an emergency transport
8 Does the community members know that emergency transportation is available if required?
9 Are the working hours are explicitly announced or posted at FAP?
Facility is open and available during working hours
10 Is FAP open and available during official hours?
11 Is the community aware of the free services offered?
12 Are information materials describing free servicesavailable at FAP?
Community is aware of free services offered
Do providers inform clients of their rights to free pregnancy care (visits, lab tests, ultrasound, delivery)
13
n the first visit by signing individual medical forms
Dimension Score
Community-Provider Relations Dimension
14
Do providers conduct health talks on the following subjects: STD/HIV/AIDS; FP; pregnancy care;
Provider conducts health talks Immunization; common childhood illnesses, including diarrhea, ARI, fever
15 Do providers prepare for health talks (inform community, prepare agenda, organise location)?
Provider is informed about the community he or Do providers know the socio-economic status of the community? (average incomes, numbers at-risk
16
she serves individuals, population considered officially vulnerable and able to get free services)
17
Do providers discuss client care with family members and others only according to client wishes?
18 Are client records kept secure and away from public access?
All patient visits are private and confidential 19 Do clients believe that what they say will be kept private?
Do facilities have private space so that counseling sessions, physical exams, and procedures cannot be
20
observed or overheard?
21 Do providers inform clients of their rights to privacy and confidentiality?
Do all providers treat clients respectfully, including: greeting clients politely by name, asking clients'
Doctors follow basic counseling skill protocols questions about how they feel and listening attentively, ensuring clients understand the information
22
with clients provided by asking follow up questions, making sure that clients understand their rights to free
services, privacy and confidentiality, etc.
23 Do providers regularly communicate with community leaders and members?
Village mayor supports activities of health facility 24 Does the local authorities (mayors) support the facility financially or in kind?
14. Community Self-Help Fund Program
Follow up Monitoring Report Form
Follow-up Visit Form
GENERAL INFORMATION:
Project Officer/Mobilizer _____________________________
Marz____________________________
Network ________________________
Community ________________________
Date of visit_______________________
CONDITION OF FACILITY:
I. Health facility upgraded/renovated __________
II. New facility established (temporary building/domik) _______
III. Electricity_______
IV. Water
Running water______
Tank water______
V. Heating system_______ (please describe) _______________
VI. General condition of FAP:
Floor: good ___ fair___poor___
Roof: good ___ fair___poor___
Windows: good ___ fair___poor___
Maintenance: good ___ fair___poor___
________________________________________________________________________________________
____________________________________________________________________________________
________________________________________________________________________________
37. Collected Data
Continuous Self- Assessment Form
Do
Facility Providers
Has Suggest
Education That Does
Do Do al Are Are IEC Clients Facility Facility Does
Facilities Providers Materials Education Materials Take Has Receive Received
Have Maintain Available al Nicely Education Regular Essential Medicine Community
Windows The For Materials Displayed al Inventory Medicine Cover All Provider
That Facility Clients Available In An Area Materials Of On A Needs Of Accessibility Relation Environment Total
Open And Appropria And At The Visible To On The Essential Regular Populatio Dimension Dimmension Dimension Dimension
Close tely Protocols FAP Clients Way Out Medicine Basis n Score Score Score Score
2 2 2 2 2 2 0 21 28 20 69
2 2 2 2 2 1 1 15 23 22 60
2 2 2 2 2 2 1 21 23 23 67
2 2 2 2 2 2 1 16 17 22 55
0 0 0 0
2 2 2 2 2 2 2 21 22 24 67
38. Collected Data
Follow up Monitoring Report Form
Health
Facility Do You
General Project Officer Communi Condition Upgraded New Facility Have RunningW
UserName TimeStamp Information Mobilizer Marz Network ty Date1 Of Facility Repaired Established Electricity Water ater
Provided area/
SC_0015 1/18/2008 0:15 Sofik Minasyan Vayots Dzor ayk
V Saravan 1/18/2008 0:00 renovated
Provided area/
SC_0018 1/18/2008 14:56 Guram Matiashvili Vayots Dzor ayk
V 1/18/2008 0:00 Y renovated Y Y Y
Provided area/
SC_0018 1/18/2008 14:53 Guram Matiashvili Vayots Dzor ayk
V 1/18/2008 0:00 Y renovated Y
SC_0018 1/18/2008 12:23 Guram Matiashvili Vayots Dzor ayk
V Saravan 1/18/2008 0:00 Y Y Y Y
Provided area/
SC_0007 1/18/2008 14:57 Vayots Dzor ayk
V 1/18/2008 0:00 Y renovated Y Y Y
Provided area/
SC_0007 1/18/2008 12:24 1/18/2008 0:00 Y renovated Y Y Y
SC_0010 1/18/2008 12:35 Nune Soghomonyan Vayots Dzor ayk
V Saravan 1/18/2008 0:00
Provided area/
SC_0010 1/18/2008 12:27 Nune Soghomonyan Vayots Dzor ayk
V Saravan 1/18/2008 0:00 renovated Y Y Y
39. Field Test Feedback
Language issue
Restricts PDA use by user
Keyboard (large or small)/ input methods
Learning curve will improve
Coding of qualitative answers
Copy & paste technique
PDA’s accepted by respondents
Better interviewer-to-respondent positioning
Easily engaged than paper forms
Quick, easy (excepting input method)
Average 14% power usage over 2.3 hour use
portable battery pack not needed
40. Recommendations
Conduct a PDA pilot in parallel with paper-based survey
M&E indicators => database design => PDA form design
Procure licensed copy of software and 1 additional PDA
Continue to develop centralized data management strategy
Evaluate GIS value – purchase licensed copy of Arc GIS w/
Spatial Analyst extension
Gradually extend PDA data collection to additional program(s)
that exhibit high paper usage and transcription costs)
Increase value by sharing with NOVA and other partners
Further comments….